Provider Demographics
NPI:1598949133
Name:ENGLAND, LORI
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 STONECREST RD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8166
Mailing Address - Country:US
Mailing Address - Phone:502-647-0133
Mailing Address - Fax:502-647-0138
Practice Address - Street 1:141 STONECREST RD
Practice Address - Street 2:UNIT 2
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8166
Practice Address - Country:US
Practice Address - Phone:502-647-0133
Practice Address - Fax:502-647-0138
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist